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‘Sumario and Wal sama ot poraan making appicalon ‘Ghia Banat Tenigoane : Child Appen for application for Child Benefit of Serial no. Anlage Kind zum Anirag auf Kindergeld vom Please refer to the guidelines for Ld. Nr. applying for Child Benefit and the “Child Benefit” leaflet 1 | Details of child Bitte beachten Sie die Hinweise zum Antrag auf Angaben zum Kid Kindergeid und da Mario Kindergld Tax identicaton no, ofthe cid Sumame ile Firstname Name of ith Date of bith || Ptace of itn Sex Nationality Adress, i eiferant trom applicant's (Streelsquare, house number, postcode, townicity, country) Reason for diferent acdress (e.g. accommodation in futher residence at home or abroad, with grandparents, in foster home or other home, for schooling or vocational raining) 2] Child/parent relationship Kindschatsvorhtnie Biological chid | adopted chia 9 {oster chia ‘stop-chid ‘grandchild Taber ng acon gen Statens ented with person making apaicalon oO oO oO oO oO rartapastenden Poon Se ee] Ol q q q a with other person eg her Steen bonan eB toa o o o o a “ifnecessary each an eocoplance oar So Avatar bataen Information about the other person (sloase enter hero) [Angaben zur anderen Person (te Her drogen) ssl known address (Stret/ Square, House Number, Postal Cade, Cay, Stale) Nationality ce tomate Aceh (Sate, Heures Poston. Wate, Sea Sneraehgeat Details of child of full age or child who will shortly reach 18" birthday, if not applicable, continue to point [4] “Angtben fr sin vollaiges Kina bv. fr in Kind asin Kurz das 18, Lens vllenden wird, sonst wit bei Punk 4 Documentary evidence relating to details of child of full age (Sections 3.1 -3.3): are enclosed are ateady submited [1] wil be submited ater ecnwne su cen Angeben runes -23)torenvonantges Kins Cl shetcgetgt —C1itGenbaever CO eee tome [3.1] The child from unt ‘completed the following school, university of vocational training absobien()flgande Sen. Hochechl- ose Beufsausbiang, description of education Bezoicnung dex Ausbloung ‘Pioase submit tho appropriate supporting documants (a9. schoo! certificate) [ite reichen Sie entsprecrende Nachwales a (2 & Sehubeschengung) cannot or could not begin or continue vocational training due to a shortage of vocational training places. kanahone ne Berlsautbdung mangle Ausbldungplal rch boginnen oder oselzen. Please subrnit the completed and signed form “Certificate for an adult child without a traning place ‘rjob" (KG 116). [ters Se don avspefilton und untrechrebenen Vordruck Beschenigung flr ein vliaiges Kin ohne ‘usbioungs- odor Aboispate (KG 119) fn [completed a volunteer social or ecological year (Youth Volunteer Service Act) a Europeanidevelopment policy-related volunteer service, a cross-generational volunteer service, an international youth volunteer service, a federal volunteer service Cf other service abroad (Section 5 of the Federal Volunteer Service Act) absoMen(e) lt Helles. sozsles oder kalogscnes Jalr (Jugsratewligendenstegeset2), onan furopalechenlrawciungspoltschon Frowiigendarst_oinan Frolwilgescnst aller Generabonen, onan IntomatioralonJugenatewillgondiont, einen Sundesriwiligendiost odor cian anderen Dionst im Ausland (G 5 Bundostreligondiensgeset). Pease submit the appropriate supporting documents (@.9. the certificate of the institution). ‘Bite reich Si entsrechande Nechweise on (Be Beschorigung des Tigers was ors in a transitional period of a least 4 months (or example between two training phases). Belanetndet ach In snot Ubergagazat von Nicene ver Macaan @.8. zwlchen 2¥el ‘usoisungebechniten [was ois not employed and has registered as a job-seeker with an Employment ‘Agency. wart ote Boschatgung und be ener Agentur fr Arbo als arbotsuchond gorse Please submit the completed and signed form *Certficate far an adult child without a training place ‘orjob" (KG 112). ‘te reichen Sie don ausgtUlen und unershiebenan Vertuck “Bascheinining ir on voljtvges Kind oie ‘usotungs- odor hbatspate (KG 114 ah 3.2 Details of gainful employment of child (only fr enries under 3.1) Angaben zur Erwerbstitighalt hs Enaironunie 34) 2) The child has already completedwill shortly complete a vocational training programme [7] yes [] no (continue to 3.3) or higher education course. = rain (weterb6 3.3) as Kind hat berets eine Berteausbidung oder elo Studlum abgeschossen baw. wl dse(e) In Kurze sbechleian, ‘Type of vocational or higher education qualification (please state subject): End of training Berusabschlus/Stucienabschis (mit Angabe des Fach): Ausblungsende: Desired occupation i ths is different from the above-mentioned qualification: erat fle deses vor 0. g, Absent abwecht [On 3.2] Details of gainful employment of child (onl for entries under 3.1) ©) The child was, sor willbe gainfuly employed es] no continue Das nd wrt ny awd emer sh Oy 0 enna Employment trom unt 1 2, ora number of , marginal jobs as defined under Sections 8 and 8a of Volume IV atthe German Social Code (so-called 'minjob) sin der neva geetnige Bscatgraer) imine or 996 80 S081 (og Mot) 1 other gaintul employment Employer (name, address): Dionsther baw. Arbogobor Nam, Asche): 1 turther gainful employment {Kor on to bs Stal on 3 separa sheet of ape) Meters Enna Employer (name, address): Denstnr tan Areigebr Name, Anscst Overall (agreed) regular weekly working time: hours Inagesant (verenbare) regalnaiige wecrentiche Arbelsze Sundon 3.3] Information on disability ‘Angaben zum Voregen siner Behinderung, Does the child have a disability that occurred before his/her 26th birthday? O ys O Lgl be em Kind ie etnderung or, welche vor Valendig des 25, Lebeaavesengeeen it? * we 4| Have you or any other person mentioned in section [2] already applied for or received child benefits for this child? Haber i 1 unter Punkt 2 genannts Person fr dieses Kind bereits Kindergeldbeantragt oder oralen? yes, please provide details here. Ly n0 Petod ja bile her Angaben machen ain ze ‘Sumas, rst name of person making aplication oi recto bof Dat of ith ‘tomtom nt Famly Benes Ofee, eeress Chit Benet no the public sector in the last 5 5] Have you or any other person men years before filing your application? ‘Sind oder waren Sie oder sine unter Punkt 2 genannts Person, zu dor das Kind in sina Kindschaftsverhlnis steht, inden lotzton 5 Jahren vor der Anragatelung in Sfentichen Dienst fg? ys, plac provide dota hare 1 votes ja, bitte hier Angaben machen o rein Zatraam uaa tana hoes tonto wo Ferme, Yoram os Soe an Naratsesgration of he patentee’ ffs [Address of prneipallemployes or foe Nam and address of he competent Family Benefits Otte (Familenkasse),faerent rm rincpallerpoyer 6 | Have you or any other person mentioned in section[2] had the right to claim child-related cash benefits from a state other than Germany or from another intergovernmental or supranational institution in the last 5 years before filing your application? ‘oder bestand fr Sie od Punkt 2 9 son fr das Kind In don indbezopene Geldelstung von sine Sale auerhale Deutechlands oder von elner zwischen Jahren vor der Antragstellung ein Anspruch au sine yes, please provide details here no ja. bit her Angaban macro ein Sumame, stam of person in recep of banat te ofits “ype of bene Moni amount tromtrom ‘nt “ Evo * Nae of gery ovr ena, arene fs nanoar 7 | With respect to you or any other person mentioned under section [2], are either of you currently doing or have either of you done at any point in the last 5 years before filing your application any of the following? Sind ader waren Sie oder eine unter Punkt 2 genannts son, ru der das Kind in einem Kindschaftsverhiinis sth, In den letzten § Jahren vor der Antragstelung a) working outside Germany as an employee, self-employed person or development aid worker? Dyes One ‘uteraleDevtechlan ae Arbeinehmerin, Sebstansge(), Enwiiungshetrin tat? 2 ein ») working in Germany in a station office or facility belonging to another country or as a member of NATO armed forces? Lives no In Deutschland bel ener Danas ode Evlewung eines anderan States oder 2 ein as Angohaig( der NATO-Sverirate ata? ©) employed in Germany at the instigation of an employer based outside Germany \ tlusenea a eernneng os tpt it St sal Dastands bec oy nn If yes, please provide details here: Pens Warn a bts hier Angaben machen zat Suan, est name tomtom nt Namlssignaton of employer if necessary, employee number or comany, statin afc o faity Neuter cos GeratwrRtuiat i Persons beds Urn, e Dose er Evi [Adéoss of employer. corpany, sain fc o fay ret cs untarn banat, ee Uametmes cet laste der Ercting cacy of amptaynat | declare that al information is complete and true. | am aware that the Family Benefits Office is to be immediately notified ofall changes that are of importance in relation to an entitlement to Child Benefit. | have taken note of the content of the leaflet Child Support Benefit {available at wor amilionkasse.de). ‘en na doe MertatnsKneege ne tw ors abe eh nar Ketiegrmnen Note on data protection: Oat wil be processed onthe bass of SocSons 31,62 78 ofthe Income Tax Act andthe provsions of he Tax Code, ar tnd 1 of to Basle Data Proton Rogulton canbe Eentans th contact dota ofthe data protection fea Fineia sum Datenecotr: ie str wan ape nd rm Zwach dr $6 9, 62 78 Bincosreralganses sd on Souupsstnchos vert Rabe armaener 2 bet Rese nanan by vite of the undo hetero Bs webs of your Famly Benet Oe (avaeble at wa {arlenkssse do), which also bs ‘Sige i Spica regal rapes all entries Print Save

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